How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1.78 Median $2.00 Typical High $2.34 | Facility | None | $1.78 | $2.00 | $2.34 |
Aetna Setting Professional Modifier None Typical Low $1.70 Median $2.00 Typical High $2.34 | Professional | None | $1.70 | $2.00 | $2.34 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.00 Median $2.69 Typical High $2.95 | Professional | None | $2.00 | $2.69 | $2.95 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $5.01 | Professional | None | $2.00 | $2.00 | $5.01 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1.95 Median $2.04 Typical High $3.31 | Professional | None | $1.95 | $2.04 | $3.31 |
Optum Setting Professional Modifier None Typical Low $2.34 Median $2.63 Typical High $2.63 | Professional | None | $2.34 | $2.63 | $2.63 |
United Setting Professional Modifier None Typical Low $2.24 Median $2.63 Typical High $4.37 | Professional | None | $2.24 | $2.63 | $4.37 |
Well Sense Setting Facility Modifier None Typical Low $1.55 Median $1.82 Typical High $1.82 | Facility | None | $1.55 | $1.82 | $1.82 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 52 · Reduced service | $1.12 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.46 Typical High $0.46 | Professional | 53 · Discontinued | $0.45 | $0.46 | $0.46 |
Where New Hampshire sits
The same service costs 2.2 times more in North Dakota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Hampshire· 40th of 51
$2.00
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.